Pediatric emergency medicine trisk 1114 1114
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TABLE 57.1
CAUSES OF DYSURIA: SYSTEMIC CONDITIONS
Disorder
Signs and symptoms
Stevens–Johnson
syndrome
(see Chapter 88
Dermatologic
Urgencies and
Emergencies )
Reactive arthritis
(Reiter
syndrome)
Crohn disease
(see Chapter 91
Gastrointestinal
Emergencies )
Beh ỗet syndrome
Mucous membrane changes, Genital ulcerations; target
conjunctivitis, oral
lesions
ulcerations, urethritis
Conjunctivitis, arthritis,
urethritis; more common
in males
Dysuria (often in setting of
UTI); fistula formation
(complication)
Physical examination
No GU findings; joint pain
(including heels, digits,
and spine)
Perianal inflammation or
perianal skin tags; may
have associated fistulas or
abscess
Recurrent oral ulcerations, Genital ulcerations
ocular panuveitis,
vasculitis, genital
ulcerations (less common)
Malignancy/tumor Constitutional symptoms:
No GU findings; abdominal
fatigue, weight loss, and
mass most common
(see Chapter 98
fever; genitourinary
Oncologic
symptoms related to intraEmergencies )
abdominal mass
